Gift Information

Can we acknowledge your gift?

We intend to share your generous act publicly. If you choose to share your name and gift, only your name will appear in our “Thank You” ad.

Gift RecognitionYes, I would like to make this donation anonymously

Donor Information

Title:Required

First Name:

Last Name:

Email Address:

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Street 2:

City:

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Postal/ZIP code:

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Billing Information

Specifies to use the donor information as the billing information

Title:Required

First Name:

Middle Name:

Last Name:

Street 1:

Street 2:

City:

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Country:Required

The
University Of Ottawa Heart Institute takes privacy and security seriously. To
prevent unauthorized access, maintain data accuracy, and ensure the appropriate
use of information, we have put in place physical, electronic, and managerial
procedures.

Yes, I would like to know how my donation is used through your newsletters and learn more about heart-healthy tips.

Yes, I would like to receive physical communication from this organization.